Organization Active NPI

Homeprac, LLC

Doing business as Heritage Hospice of East Texas

  • Home Health Agency
  • Sulphur Springs, TX
National Provider Identifier
1720685548
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOMEPRAC, LLC
Doing business as
Heritage Hospice of East Texas
Practice address
1335 Shannon Rd E Ste a
Sulphur Springs, TX 75482-3093
Phone
(888) 466-3016
NPI assigned
Oct 5, 2020
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Christopher Stayton Clemens, RN
Title
Cco
Phone
(903) 792-0716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1335 Shannon Rd E Ste a
Sulphur Springs, TX 75482-3093

Mailing address

4605 Texas Blvd
Texarkana, TX 75503-3028
Phone (903) 792-0716

Other names 1

  • Heritage Hospice of East Texas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1720685548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033028",
            "telephone_number": "903-792-0716",
            "fax_number": "903-792-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 SHANNON RD E STE A",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754823093",
            "telephone_number": "888-466-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEPRAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "STAYTON",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "903-792-0716",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hospice of East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.